Digital Rectal Exam (DRE) chungchang chiang takin i zir ang u?

He test hi i hre tawh mai thei a, doctor-in ti turin a ti che pawh a ni thei. He hming i hriat hian tlem a zak deuh emaw, mualpho deuh emaw a awm hi thil pangngai tak a ni. Mahse hei hi natna tam tak hriat hmasak theihna tura puitu, i ngaihtuah angin a harsa lo va, minute tlemte chhungin a zo vek a ni. Chuvangin, vawiin hian chipchiar tak leh awlsam takin he Digital Rectal Exam (DRE) , chu chu rectum kaltlanga kut zungtang hmanga exam tih chungchang hi kan sawi dawn a ni.

He Digital Rectal Exam an tih hi eng nge ni tak tak?

A awlsam zawngin, hei hi doctor-in i rectum hnuai lam a enfiahna a ni a, chu chu large intestine leh anus (kan chhuahna hmun) tawp ber a ni. Mipa tan pawh hei hian prostate gland a check bawk. Doctor chuan i rectum-ah gloved, lubricated finger a dah lut a, a danglamna a awm leh awm loh a enfiah thin. Hei hi a chang chuan kum tin i taksa enfiahna pangngaiah a tel thei a, a bik takin mipa tan chuan. Hmeichhia tan pawh gynecological exam neih laiin tih theih a ni bawk.

Engvângin nge chutiang fiahna chu kan neih a ngaih?

DRE test hi natna chi hrang hrang screen nana hmanraw pawimawh tak a nih avangin doctor chuan i check-up fo bakah hian a rawt thei bawk.

He test hmang hian eng natna nge hriat theih?

He test hmang hian doctor-in a rinhlelh theih emaw, a hriat theihna tura puih theih tur condition engemaw zat a awm. Entir nan:

• Inflammatory Bowel Disease (IBD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
• Hemorrhoid natna (Hemorrhoid) a awm
• Anal fissures a awm
• Prostate natna a awm
• Rectum emaw colon emaw cancer a awm
• Chu hmuna chhiatna eng emaw avanga chhiatna thleng
• Nervous system natna thenkhat

Eng symptom nge doctor-te chu DRE tih tir ang?

Hetiang symptoms i neih chuan doctor chuan DRE test hi a ngaihtuah thei ang:

• Anus atanga thisen chhuak a awm chuan.
• I ek chhungah thisen i awm a nih chuan, a nih loh leh toilet-ah thisen i hmuh chuan.
• Bowel habits inthlak danglamna, entirnan, persistent constipation emaw diarrhea emaw.
• I zun ah thisen emaw mucus emaw i neih chuan.
• I zun control harsatna i neih chuan (Urinary incontinence).
• I riltam control harsat i neih chuan (fecal incontinence).

Doctor chuan i prostate gland hriselna enfiah an duh emaw, i symptoms atanga thil pawi tak an rinhlelh emaw chuan he DRE test hi a ti thei ang.

Prostate lama harsatna nei leh DRE test te

Mipain DRE a tih chuan doctor chuan prostate gland chu a bik takin a ngaihven ang. US Preventive Services Task Force chuan DRE hi prostate cancer screening tool atan rawt lo mah se, prostate infection awm leh awm loh enfiah nan hman theih a ni. Doctor chuan prostate gland lian tham, lumps emaw, a chunglama inthlak danglamna emaw a zawng ang. He test hian test dang neih belh a ngai em tih hriat theih nan a pui dawn a ni.

I doctor chuan infection i nei thei nia a ngaih chuan i prostate gland chu a massage thei a ni. Hei hian i zun chhungah secretion a ti khawm ang. Chumi hnuah chuan zun sample chu lab-ah thawn a ni ang a, chutah chuan pathologist chuan microscope hmangin fluid chu a enfiah ang a, eng enkawlna nge i dawn tur tih a hre ang.

Thluak/hnus atanga thisen lo chhuak ah thisen a awm a nih chuan engtin nge ni ang?

I ek chhungah thisen i awm a, toilet-ah thisen i hmu a, toilet paper-ah thisen i hmu a nih chuan DRE test hi test pawimawh tak a ni thei . I bawlhhlawh chhunga thisen awm hi i ril chunglam emaw, hnuai lam emawa natna a awm tih chhinchhiahna a ni thei. Chutiang hunah chuan i doctor chuan DRE hnuah test dang, colonoscopy ang chi tih a ti thei ang. Hei hian cancer, internal hemorrhoids emaw, colon wall inflammation emaw a nih leh nih loh hriat theih nan a pui thei a ni.

Bowel habits ah hian danglamna a awm em?

I rilru natnaah danglamna danglam tak i neih chuan (entir nan, pencil ang maia zun, flat, emaw, kal harsa emaw) doctor chuan DRE hmangin blockage a awm leh awm loh a enfiah thei a, chu chu tumor ang chi hi a ni.

He DRE test hi tuin nge ti thin?

Doctor hrang hrangte chuan he DRE test hi an ti thei a, chu chuan i dinhmun hriat theihna turin a pui thei a ni. Chung zingah chuan:

• I chhungkaw doctor (Primary care provider) te chuan .
• Surgeon te pawh an awm
• Gastroenterologist te pawh an awm
• Obstetrician leh gynecologist te an ni
• Oncologist te an ni

He DRE test hi engzat nge ka neih ang?

I doctor chuan kum tin i taksa enfiahnaah DRE tih a rawt thei ang . DRE bakah hian i doctor chuan thisen test PSA (Prostate-Specific Antigen) tih chu prostate cancer enfiah turin a ti thei bawk. PSA hi i thisena protein awm a ni a, chu chuan i prostate hriselna chungchang engemaw zat a pe thei che a ni.

DRE test hmain engtin nge kan inbuatsaih ang?

Thu lawmawm ber chu, he DRE test atana inbuatsaih nan hian thil danglam bik tih a ngai lo .Mahse, anal fissures emaw hemorrhoids emaw i neih chuan doctor hnenah i hrilh hmasa tur a ni a, DRE hian heng dinhmunte hi a ti na zual thei a ni.

Doctor chuan he test hi engtin nge an tih tih a hrilhfiah ang che, chutih laia zawhna i neih apiang chu i zawt thei ang.

DRE test neih chhung hian eng nge thleng? Eng nge kan beisei ang?

Doctor hian he DRE test hi a office-a private exam room-ah a ti ang. I kawr atanga hnuai lam pan turin an ti ang che a, i khuh tur gown emaw puan emaw pek i ni ang. Test pumpui hi minute tlemte chauh a ni. A tlangpuiin a hrehawm lo hle a, mahse tlem chuan i rilru a hahdam lo mai thei. Mi thenkhat chuan zun a ngaiin an hria mai thei.

Mipa tan chuan...

Doctor chuan position pahnih zinga pakhatah mu turin a ti ang che. Ding nghet takin ding la, exam table-ah hmalam pan rawh, a nih loh leh dawhkan chungah chuan i khup chu i rilruah nghatin mu rawh.

A hmasa berin doctor chuan i rectum pawn lam chu a en ang a, hemorrhoid emaw anal fissures emaw a awm leh awm loh a en ang. Tichuan, i inpeih hunah doctor chuan chawlh hahdam a, thawk thûk tak la turin a ti ang che. Tichuan, doctor chuan i rectum chhungah kutkawr vuah, lubricated finger a dah ang.

Doctor chuan i prostate gland, a lian leh te, a chunglam te chu a hre thei ang. I prostate gland a lian chuan i enfiah laiin i hrehawm lo emaw, natna/pressure tlem emaw i nei thei. A tawp berah chuan doctor chuan i colon hnuai lam leh rectum bang chu a enfiah ang a, thil dik lo a awm leh awm loh a enfiah ang.

Hmeichhia a nih chuan...

I doctor chuan i pelvic exam-naah DRE a ti thei ang. Exam table-ah i ke chu stirrup-a chawi sangin hmai lam hawia mu turin an ti ang che.

I inpeih hunah i doctor chuan chawlh hahdam leh thawk thûk tak la turin a ti ang che. Tichuan, i rectum-ah chuan lubricated, gloved finger a dah lut ang. Hetih lai hian i doctor chuan i colon hnuai lam leh i rectum bang te chu a enfiah ang a, a danglamna a awm leh awm loh a enfiah ang.

DRE test hnuah eng nge thleng?

DRE zawhah i thil tih pangngai i thawk nghal thei bawk. Anus atanga thisen tlem a chhuak hi a awm lo , mahse a thleng thei. Anal fissures emaw hemorrhoids emaw i neih chuan thisen i chhuah tam zawk. DRE hnua thisen chhuak tam tak i neih chuan doctor hnenah hrilh rawh.

He DRE test hmang hian risk a awm em? Complication a awm thei em?

DRE test hi a tlangpuiin a him hle nia ngaih a ni a, hrehawmna tlemte chauh a awm fo thin. Mahse, hlauhawmna tenau tak tak leh harsatna awm thei tlemte hriat a tha:

• Hrisel lohna emaw, natna emaw:Mi thenkhat chuan doctor-in an kut zungtang chu rectum-ah a thun chuan hrehawmna emaw, natna tlem emaw an nei thei. Hei hi hun eng emaw chen atan a ni tlangpui a, exam zawh veleh a bo vek.
• Rectal bleeding: A tlem hle a, mi thenkhat chuan DRE hnuah rectal bleeding tlemte an nei thei a, a bik takin an pre-existing anal fissures emaw hemorrhoids emaw an neih chuan. Test zawhah thisen chhuak nasa tak i neih chuan doctor hrilh a pawimawh.
• Infection: Hei pawh hi a thleng tlem hle bawk. Taksa chhunga hmanrua dah luh ngai procedure eng pawh hmang hian kai theihna chance a tlem hle. Doctor-te chuan he hlauhawmna hi tihziaawmna turin an tih lai hian sterile gloves leh lubricants an hmang thin.

Engtikah nge DRE test result kan hriat ang?

I doctor chuan DRE result chu test a tih zawh veleh a hrilh thei tur che a ni .

DRE test result hian eng nge min hrilh?

DRE test atanga result pangngai a awm chuan doctor chuan test chhungin thil danglam a hmu lo tihna a ni. Mahse, result finfiah nan test dang neih belh an ti thei a ni.

Results pangngai lo hian thil engemaw zat a kawk thei. Thisen, i hriat theih tur lumps, anal fissures, hemorrhoids, emaw test laiin natna nasa tak a awm thei. I doctor chuan he thu hi a sawi nghal ang che a, a hnua i tih tur a hrilh ang che.

Colonoscopy neih laiin DRE pawh tih a ni em?

Ni e, a chang chuan doctor chuan colonoscopy hmasa ber atan DRE a ti thei bawk. Mahse, DRE an neih lai hian prostate gland an check lo tlangpui. He DRE hi i rectum enfiah nan chauh an hmang a, colonoscopy atana inbuatsaihna atan lubricant an hnawih bawk. Chuvangin, i doctor hnenah colonoscopy neih chhunga DRE tih lai hian i prostate an check thei em tih i zawt thei ang.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

En teh, kan hmu a ni. Digital rectal exam ngaihtuah hian a zahthlak thei a, a nuam lo thei bawk. Mahse, thil tawn nuam tak a ni lo mai thei a, mahse, a tlangpuiin rang leh hrehawm lo tak a ni. Tin, i doctor pawhin a lo hmu tawh vek bawk. Zahpui tur a awm lo. I doctor-in DRE neih a hun tawh a tih chuan ngaihthlak a pawimawh. DREs hian i taksa chhunga thil thlengte chu a hriat theih nan a pui thei che a, natna leh dinhmun thenkhat chu a hmain a hriat theih nan a pui thei bawk . Chuvangin, i doctor hnenah hemi chungchang hi sawipui chu hlau lo la, zak suh.

`Rectal examination, digital rectal exam, prostate, constipation, hemorrhoids, cancer screening, DRE te a awm bawk